Malaria Clinical Trial
Official title:
The Epidemiology of Malaria Among Children Under Five in Mbarara District, Uganda - A Cross-sectional Population-based Survey 2010
Malaria is one of the major public health problems in Sub-Saharan Africa. In response to
this threat, Roll Back Malaria (RBM) has rolled back a strategy using ACT as first line
therapy for malaria episode, a wide distribution of Insecticide Treated Bednet (ITN),
intermittent presumptive treatment of pregnant women and indoor residual spraying. Recent
epidemiological observations suggested a decline in malaria prevalence in some countries but
further evidences are still needed to confirm this evolution. The RBM strategy requires the
use of reliable rapid diagnostic test (RDT) for which an operational assessment is
necessary. Lastly, home-based management of malaria is also an important compound of this
strategy. However, a better understanding of the actual use of antimalarial drugs, of the
use of bednet and of the barrier to the use of health care is important to implement good
quality strategies for malaria control.
This study is a cross-sectional community based survey made of two rounds (one in January
2010 and the second in June 2010). The general objective is to measure the prevalence of
infection with Plasmodium falciparum at two periods of the year (at the moment of lowest and
highest transmission based on the seasonal rainfalls) and to compare it with the prevalence
estimated in 2004 after the rainy season for the same area. Specific objective are the
estimation of the prevalence by age stratum, the analysis of the geographical distribution
of the infection, the description of the parasitological characteristics, the assessment of
three RDT, the description and the analysis of the prevention and care seek behaviours
related to malaria.
The study area is the great Mbarara district located in south-west of Uganda. A three-stage
cluster sampling method will be used. Spatial information will be collected with global
positioning system and imported to Geographical Information System. Behaviour information
will be collected through face to face interview.
n/a
Observational Model: Cohort, Time Perspective: Cross-Sectional
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